Doctor Name: | MARC C ALEMBIK |
NPI Number: | 1003899840 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 0101050991 |
Business Practice Address: | 2296 Opitz Blvd #440 Woodbridge, VA - 22191 |
Business Phone Number: | 7038780740 |
Business Fax Number: | 7038783933 |
Mailing Address: | 2296 Opitz Blvd, #440 WOODBRIDGE |
State: | VA |
Postal Code: | 22191 |
Phone Number: | 7038780740 |
Fax Number: | 7038783933 |
NPI Enumeration Date: | 11/25/2005 |
NPI Last Update Date: | 02/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 0101050991 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |